Jeanette Robertson Smyth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004133 Issued in MI

Practice address

910 Joe Mann Blvd
Midland, MI 48642-8903

Phone

(989) 835-6756

Fax

(989) 835-6919

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407968605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11343 AMBER CT",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238441",
            "telephone_number": "989-695-6403",
            "fax_number": "989-835-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 JOE MANN BLVD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428903",
            "telephone_number": "989-835-6756",
            "fax_number": "989-835-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "JEANETTE",
        "middle_name": "ROBERTSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Smith, LLPC
• Michael Thomas Smith, D.D.S.
• Sandra Kaye Smith, D.D.S.
• Heidi Smithingell, AT, ATC
• Alexandria Smits, DO
• Rachel S Snapp, NP-BC
• Emma Ann Snavely, MS, LCGC
• Chelsea Snear
• Ann Marie Snider, M.D., PH.D.
• David W Snider, DPM

• Optometrist in Midland, MI
• Providers in Midland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.